Carer Spotcheck Form
Date of Spotcheck
*
/
Day
/
Month
Year
Date
Name of Supervisor
*
Carer Name
*
Client Name
*
Client Type
*
Please Select
Adult Service User
Private
Client Area
*
Please Select
Manchester
Other
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Next
Audit
Is the Care Plan up to date?
*
Yes
No
Are communication sheet collected at the end of the month?
*
Yes
No
Is the carer wearing an ID badge?
*
Yes
No
Has the carer arrived on time?
*
Yes
No
Did the carer knock or announce themselves before entering the home?
*
Yes
No
Has the carer greeted the SU?
*
Yes
No
Has the carer explained why they are here today?
*
Yes
No
Has the carer spoken clearly and used appropriate terminology?
*
Yes
No
Has the worker been polite and respectful to the SU and family?
*
Yes
No
Has the carer read the care plan?
*
Yes
No
Has the carer read the communication sheet for a handover?
*
Yes
No
Has the carer asked if the SU needs specific help with tasks?
*
Yes
No
Has the carer assessed the situation for any immediate needs of the SU?
*
Yes
No
Has the carer explained their work to the SU?
*
Yes
No
Has the carer provided choices for the SU (e.g. meals)?
*
Yes
No
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Does Service User require support with medication?
*
Yes
No
Has Carer Read MAR Sheet?
Yes
No
Has the carer checked the “6 rights” before administering medication?
1. Right person
2. Right drug
3. Right dose
4. Right route
5. Right time
6. Person’s right to decline
Has the carer checked for any discrepancies or errors before handling medication?
Yes
No
Has the carer followed infection control procedures according to company policy?
Yes
No
Has the carer used the correct Personal Protective Equipment to perform tasks? e.g. gloves, apron
Yes
No
Has the carer communicated and gained consent from the SU to assist with their medication?
Yes
No
Did the carer encourage SU independence in relation to medication?
Yes
No
Did the carer ensure the medication was taken?
Yes
No
Did the carer correctly record the use and administration of the medication handled today?
Yes
No
Did the carer dispose of any unwanted medication according to protocol?
Yes
No
N/A
Did the carer follow safe practices and company policies for the handling, storing and disposal of medication?
Yes
No
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Has the carer performed moving and handling?
*
Yes
No
Has the carer communicated with the SU prior to moving and handling?
Yes
No
Has the carer followed safety procedures?
Yes
No
Has the carer used equipment correctly?
Yes
No
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Has the carer informed the SU of when they will next visit?
*
Yes
No
Has the carer completed the relevant paperwork at the end of the shift?
*
Yes
No
Do you feel the carer requires any additional training or development in relation to general duties?
*
Yes
No
If yes, please provide details
Actions Required
Additional Training
Supervision
Verbal Warning
Conduct additional spotchecks
Other
Additional Comment/Feedback
Submit
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